Provider Demographics
NPI:1376098301
Name:NAILOR, DANIEL (CRNP)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:NAILOR
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 GRAND AVE APT 1228
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-6155
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:339 WALKER CHAPEL PLZ
Practice Address - Street 2:#115
Practice Address - City:FULTONDALE
Practice Address - State:AL
Practice Address - Zip Code:35068-3401
Practice Address - Country:US
Practice Address - Phone:205-340-5712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-116367363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily